OBJECTIVE
As an experienced healthcare professional, I would like to use my extensive clinical experience in the field of healthcare administration and management. I am experienced in all forms of medical insurance including workman's comp and no-fault claims. I am also experienced in verification of eligibility, authorizations, electronic filing, data entry, posting payment, refunds, denials, reconsiderations and appeals. Knowledgeable with guidelines of purchase or renting durable equipment.
WORK HISTORY
CARECENTRIX TAMPA FL 2017- CURRENT
-Customer Service, giving estimates, setting up payment arrangements, collecting payments and refund requests.
-Advising customers on guidelines of purchase or renting of the durable equipment.
-Providing information to the patients on their benefits and their responsibilities.
-Working with third parties for recoupments, replacement and picking up the equipment. Also Updating clients with the reconsiderations and appeals process.
PROFESSIONAL PRACTICE MANAGEMENT WATERTOWN N.Y. [2004-2017].
-Knowledge in posted payments from various electronic and paper remits, worked denials from numerous commercial, HMO products, workman’s comp and no-fault insurances
-Submitted claims in a timely matter [1500], including on-line reconsiderations and appeals with supporting documentation. E-mail deposit to various clients, scanned documents to client’s folders for future references. Data entry for new and existing patients
SKILLS
-Communication Skills
-Very dependable with capability to finish tasks assigned.
-Stress Management
-Working with autonomy
SYSTEMATIC SKILLS
-Proficient in Microsoft and Gmail suites.
-CPU Systems
-Vital Works
-Medent
- E-Clinics CPR and First Aid Certificate First Responder
EDUCATION
Hernando High School, Brooksville Florida [1981].
Jefferson BOCES, Watertown N.Y. [1995 and 2004.]
Certificate of Training Home Health Aide [1995].
Certificate of Training Nursing Assistant [1995].
Certificate of Completion Medical Terminology [2004]. Certificate of Completion Business Office Skills [2004].
REFERENCES
[REFERENCE NAME]
[Title, Company]
[Contact Information]
[REFERENCE NAME]
[Title, Company]
[Contact Information]
8406 Roxboro Drive
Hudson Florida 34667
Cell Phone 315-***-****
***************@*****.***
TONDA LYNN FRANK